Senior Medical Biller and A/R Specialist

Summary

Join Movn Health as a Senior Medical Biller & A/R Specialist and take ownership of claims processing and accounts receivable recovery. This senior-level role focuses on accelerating cash flow, reducing outstanding balances, and ensuring accurate billing practices. The ideal candidate is a self-starter with A/R recovery, claim appeals, and payer follow-up experience. Experience in startups and cardiovascular care is preferred. Proficiency in top EMRs (Athenahealth, eCW, Tebra, etc.), QuickBooks, and medical billing and payer systems is essential. You will be responsible for submitting clean claims, processing denials and rejections, managing A/R aging, generating invoices, handling billing inquiries, tracking payments, identifying denial trends, ensuring compliance, producing performance reports, and collaborating with other teams. This role also includes supporting junior staff.

Requirements

• 10+ years of hands-on experience in medical billing and A/R management
• Deep knowledge of payer reimbursement methodologies and claims adjudication
• Proficiency with multiple EHRs
• Strong command of medical coding (ICD-10, CPT, HCPCS) and healthcare compliance (HIPAA, CMS)
• Proven success in reducing A/R and managing appeals at scale
• Excellent communication, analytical, and problem-solving skills

Responsibilities

• Submit clean claims via EHR to all payers within 24 hours of service
• Review and process claim denials and rejections, executing timely appeals and follow-up strategies
• Aggressively manage A/R aging—identify unpaid claims and pursue payer follow-ups until resolution
• Generate and customer invoices via QuickBooks
• Handle any billing related inquiries from patients, payers, and external partners
• Follow up on patient responsibility balances
• Track and reconcile all payments, EOBs, and remittances across EMR and QuickBooks
• Identify trends in denials, underpayments, or payer delays, and escalate with recommendations for resolution
• Ensure documentation and coding compliance with CMS and payer guidelines (ICD-10, CPT, HCPCS)
• Produce weekly A/R performance reports and metrics to leadership
• Collaborate with clinical and operations teams to resolve coding or documentation issues
• Maintain accurate billing records and correspondence logs for audit-readiness
• Support junior billing staff with training and escalation resolution when needed

Preferred Qualifications

• Certification in medical billing and coding (e.g., CPB, CPC) preferred
• Proficiency with Athenahealth is a plus
• Prior experience in cardiovascular care or digital health startups is a strong plus

Benefits

• Attractive compensation
• Paid sick leave
• Paid Holidays (prorated)
• Remote Workplace